Individual
MS. AMANDA RAE STANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
204 W WARREN ST, ROBERTS, WI 54023-9617
(715) 749-3890
(715) 749-4081
Mailing address
204 W WARREN ST, ROBERTS, WI 54023-9617
(715) 749-3890
(715) 749-4081
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
3037-154
WI
235Z00000X
Speech-Language Pathologist
3037-154
WI
235Z00000X
Speech-Language Pathologist
683620
WI
Other
Enumeration date
08/22/2007
Last updated
06/29/2010
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